Final answer:
A nurse should educate a client with a new ibuprofen prescription for rheumatoid arthritis to monitor for gastrointestinal bleeding, which is a significant adverse effect of NSAIDs. Being aware of symptoms indicating this condition is vital for prompt medical intervention.
Step-by-step explanation:
A nurse instructing a client who has a new prescription for ibuprofen to treat rheumatoid arthritis should educate the client to monitor for gastrointestinal bleeding as an adverse effect. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are effective for reducing pain and inflammation but can have serious side effects. One of the most significant is the increased risk of gastrointestinal ulcers and bleeds, particularly in people who are over 60, use prescription blood thinners, take steroids, or have a history of such issues.
Consequently, it is crucial for the client to be aware of symptoms such as bloody or black stools, severe stomach pain, and any signs of bleeding without apparent injury. These symptoms can suggest the occurrence of gastrointestinal bleeding, which requires immediate medical attention. It's also important to recognize that while NSAIDs like ibuprofen help manage the symptoms of rheumatoid arthritis, their long-term use should be carefully monitored to mitigate the risk of adverse effects.